@article{fdi:010061707,
  title = {{T}raining and nutritional components of {PMTCT} programmes associated with improved intrapartum quality of care in {M}ali and {S}enegal},
  author = {{M}c{L}ean {P}irkle, {C}. and {D}umont, {A}lexandre and {T}raore, {M}. and {Z}unzunegui, {M}. {V}.},
  editor = {},
  language = {{ENG}},
  abstract = {{S}cale-up of prevention of mother-to-child transmission ({PMTCT}) of {HIV} programmes in sub-{S}aharan {A}frica has stimulated interest to assess whether these programmes can indirectly affect other health priorities. {T}his study assesses whether {PMTCT} programmes, or components of these programmes, are associated with better obstetrical quality of care and how {PMTCT} may reinforce existing maternal health programmes. {C}ross-sectional analysis of data from a cluster-randomized trial called {QUARITE}. {M}ali and {S}enegal, {W}est {A}frica. {T}hirty-one referral hospitals and 612 obstetrical patients. {T}he exposure of interest was {PMTCT} measured with a scale containing 10 components describing different prongs of a hospital {PMTCT} programme. {O}ther variables of interest included: presence of a quality of care improvement programme, hospital resources and patient demographic characteristics. {O}bstetrical quality of care measured through a validated chart abstraction tool. {O}f 45 points, the mean hospital {PMTCT} score was 26.1 ({SD}: 6.7). {T}otal {PMTCT} score was not significantly associated with quality of care, but programme component scores were. {A}fter adjustment for known predictors of quality of care, staff training in {PMTCT} ({P} 0.03) and complementary nutritional services ({P} 0.03) were significantly associated with better quality obstetrical care. {A} point increase in scores for either of these components was associated with 40 greater odds of good obstetrical care. {PMTCT} training and nutritional components are significantly associated with better quality intrapartum care. {H}ealth professionals training in maternal healthcare and {PMTCT} could be combined to improve the quality of obstetric care in the region.},
  keywords = {{PMTCT} ; maternal health ; obstetrics ; quality of care ; health systems ; {W}est {A}frica ; {MALI} ; {SENEGAL}},
  booktitle = {},
  journal = {{I}nternational {J}ournal for {Q}uality in {H}ealth {C}are},
  volume = {26},
  numero = {2},
  pages = {174--183},
  ISSN = {1353-4505},
  year = {2014},
  DOI = {10.1093/intqhc/mzu013},
  URL = {https://www.documentation.ird.fr/hor/fdi:010061707},
}